Cardiac Catheterization Pre-Procedure Questionnaire
What a cardiac catheterization pre-procedure questionnaire asks, with sample questions for cath lab teams.
A cardiac catheterization pre-procedure questionnaire records heart history, allergies, medicines, and safety details a cath lab team needs before the procedure. The sample questions here are built from a Jotform template, an Island Health nursing checklist, and a National Jewish Health handout.
Cardiac catheterization pre-procedure questionnaire, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a cardiac catheterization pre-procedure questionnaire in the patient's own language, strictly following the practice's instructions.
- Intake before the visit. Patients answer online before they arrive, or at a kiosk when they check in.
- Answers ready for the clinician. Clinicians see what the patient said before the visit starts.
- Less workload at the front desk. Staff spend less time handing out forms and entering answers by hand.
- Key details at a glance. The care team sees what matters up front and decides who needs attention first.
The form becomes a natural conversation: patients answer by talking, in their own words. AI Doctor is an information and patient-assistance interface. It collects answers for the care team to review. It doesn't diagnose, triage, or give treatment advice.
Sample cardiac catheterization pre-procedure questionnaire questions
Typical questions, written out so you can see the level of detail. Every practice words its own form differently.
- Why is the procedure planned for you?Reason
- How long have you had these symptoms?Reason
- Have you had a heart attack or heart surgery?Heart history
- Have you had a heart cath before?Heart history
- Are you allergic to contrast dye or iodine?Allergies
- Did you react badly during an earlier x-ray procedure?Allergies
- Do you take a blood thinner or antiplatelet?Medicines
- Do you take any medicines for diabetes?Medicines
- Do you have kidney disease?Safety factors
- Is there any chance you could be pregnant?Safety factors
- Can you lie flat for a few hours?Logistics
- Who will drive you home afterward?Logistics
These are examples to read, not a form to fill in.
Cardiac catheterization pre-procedure questionnaire: FAQ
What does a cardiac catheterization pre-procedure questionnaire ask?
The questions on this page are built from a Jotform cath lab template, an Island Health nursing checklist, and a National Jewish Health handout. They cover six areas: the reason, heart history, allergies, medicines, safety factors, and logistics.
Who fills in a cardiac catheterization pre-procedure questionnaire?
The patient, ahead of the procedure. The National Jewish Health handout says a nurse also calls within 2 days before the procedure with specific instructions.
Why does the cath lab ask about contrast dye?
The procedure uses an iodine-based contrast dye that shows up on x-ray. The National Jewish Health handout asks patients to report an allergy to it, or problems during an earlier x-ray procedure.
Does the avatar tell patients which medicines to stop?
No. It records the medicines, including blood thinners and diabetes medicines. The cath lab team gives any medicine instructions.
Is there a cardiac catheterization pre-procedure questionnaire template?
Form builders such as Jotform offer a cath lab assessment template. The sample questions on this page show a typical set.
What happens after the questionnaire is completed?
The cath lab team reviews the answers before the procedure. The National Jewish Health handout says staff go over history, medicines, and allergies again on the day.
Does AI Doctor give medical advice?
No. It collects information for the care team. It doesn't diagnose, triage, or recommend treatment.
Can patient answers stay on our own servers?
Yes. RAVATAR offers on-prem deployment: the platform can run inside your own perimeter, so patient answers stay there. RAVATAR complies with GDPR and the EU AI Act.
Set up your AI Doctor in Genesis AI Avatar Studio
Genesis AI Avatar Studio is where you set up, test, and publish AI avatars for your website, mobile app, or Holobox. No coding or technical skills needed.
- 01Choose the AI Doctor avatar.
- 02Add your practice's FAQs and visit information.
- 03Talk to it, then publish it.
